Individual
KRISTIN SWANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
2151 SE 110TH AVE, PORTLAND, OR 97216-3208
(971) 344-6251
Mailing address
2151 SE 110TH AVE, PORTLAND, OR 97216-3208
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC150513
OR
Other
Enumeration date
11/30/2009
Last updated
11/30/2009
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